|
Iron binding capacity
|
$83.50 |
$83.50 |
$83.50 |
$63.79
|
|
Irrigation implantable venous access device for drug delivery systems
|
$114.25 |
$114.25 |
$114.25 |
$142.20
|
|
Ivc venogram s&i
|
$2,047.00 |
$2,047.00 |
$2,047.00 |
$3,316.95
|
|
IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour
|
$104.50 |
$104.50 |
$104.50 |
$191.75
|
|
IV infusion therapy/prophylaxis/diagnosis concurrent infusion
|
$65.50 |
$65.50 |
$65.50 |
$157.50
|
|
IV infusion therapy/prophylaxis/diagnosis each additional 1 hour
|
$31.50 |
$31.50 |
$31.50 |
$151.80
|
|
IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour
|
$200.00 |
$200.00 |
$200.00 |
$439.56
|
|
Ivp w/nephrotomography
|
$451.50 |
$451.50 |
$451.50 |
$790.08
|
|
Ivp w/wo kub w/wo tomography
|
$361.50 |
$361.50 |
$361.50 |
$692.18
|
|
Jak2 targeted sequence analysis
|
$162.25 |
$162.25 |
$162.25 |
$379.87
|
|
John cunningham antibody
|
$14.50 |
$14.50 |
$14.50 |
$72.60
|
|
Ketamine and metabolite screen - quest
|
$92.75 |
$92.75 |
$92.75 |
$72.14
|
|
Ketone body(s) beta-hydroxybutyrate quantitative
|
$28.50 |
$28.50 |
$28.50 |
$60.20
|
|
Ketorolac 15 mg/ml injection (wrapper)
|
$15.84 |
$15.84 |
$15.84 |
$23.50
|
|
Kidney endoscopy
|
$1,674.50 |
$1,674.50 |
$1,674.50 |
$5,728.00
|
|
Kidney img w/bldflw sgl without rx
|
$403.25 |
$403.25 |
$403.25 |
$1,427.40
|
|
Kidney (Retroperitoneal) Ultrasound (complete)
|
$224.00 |
$224.00 |
$224.00 |
$666.00
|
|
Kit gene analys d816 variant
|
$57.25 |
$57.25 |
$57.25 |
$374.61
|
|
Knee MRI (with and without contrast)
|
$1,552.75 |
$1,552.75 |
$1,552.75 |
$3,034.80
|
|
Knee MRI (with contrast)
|
$1,025.50 |
$1,025.50 |
$1,025.50 |
$2,394.58
|
|
Knee MRI (without contrast)
|
$1,025.00 |
$1,025.00 |
$1,025.00 |
$2,169.60
|
|
Knee X-ray
|
$80.50 |
$80.50 |
$80.50 |
$425.55
|
|
Kras gene variants exon 2
|
$95.25 |
$95.25 |
$95.25 |
$486.45
|
|
Labetalol 5 mg/ml IV (wrapper)
|
$38.17 |
$38.17 |
$38.17 |
$32.34
|
|
Lacosamide 200 mg/20 ml intravenous solution
|
$954.00 |
$954.00 |
$954.00 |
$175.92
|
|
Lactate dehydrogenase (ldh)
|
$57.75 |
$57.75 |
$57.75 |
$55.50
|
|
Lactated ringers intravenous solution
|
$425.50 |
$425.50 |
$425.50 |
$45.56
|
|
Lactic acid
|
$285.75 |
$285.75 |
$285.75 |
$107.00
|
|
Lactoferrin fecal qualitative
|
$40.75 |
$40.75 |
$40.75 |
$80.40
|
|
Lanreotide 120 mg/0.5 ml subcutaneous syringe
|
$4,644.04 |
$4,644.04 |
$4,644.04 |
$19,124.00
|
|
Laryngeal function studies
|
$195.50 |
$195.50 |
$195.50 |
$335.40
|
|
Lead capillary
|
$115.75 |
$115.75 |
$115.75 |
$57.50
|
|
Leg Vein Ultrasound (DVT study, both legs)
|
$723.25 |
$723.25 |
$723.25 |
$1,088.26
|
|
Leishmania antibody
|
$10.00 |
$10.00 |
$10.00 |
$68.25
|
|
Leucovorin calcium 100 mg solution for injection (1 mg rounding)
|
$59.80 |
$59.80 |
$59.80 |
$163.62
|
|
Leuprolide acetate injeciton
|
$1,237.58 |
$1,237.58 |
$1,237.58 |
$1,322.50
|
|
Levetiracetam 500 mg/5 ml intravenous solution
|
$41.44 |
$41.44 |
$41.44 |
$95.68
|
|
Levetiracetam therapeutic drug level
|
$69.00 |
$69.00 |
$69.00 |
$88.92
|
|
Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback
|
$36.96 |
$36.96 |
$36.96 |
$55.60
|
|
Lidocaine therapeutic drug level
|
$132.75 |
$132.75 |
$132.75 |
$89.70
|
|
Lincomycin injection
|
$164.81 |
$164.81 |
$164.81 |
$64.31
|
|
Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback
|
$43.31 |
$43.31 |
$43.31 |
$125.66
|
|
Lipase
|
$15.50 |
$15.50 |
$15.50 |
$93.58
|
|
Lipoprotein blood high res frac & quant
|
$101.75 |
$101.75 |
$101.75 |
$90.35
|
|
Lipoprotein blood quant
|
$43.75 |
$43.75 |
$43.75 |
$102.05
|
|
Lipoprotein direct measurement hdl
|
$76.50 |
$76.50 |
$76.50 |
$57.50
|
|
Lipoprotein direct measurement ldl
|
$39.25 |
$39.25 |
$39.25 |
$61.60
|
|
Lip surgery procedure
|
$76.25 |
$76.25 |
$76.25 |
$334.50
|
|
Lithium therapeutic drug level
|
$63.00 |
$63.00 |
$63.00 |
$69.42
|
|
Liver ds alys 3 bmrk srm alg
|
$392.50 |
$392.50 |
$392.50 |
$340.00
|
|
Liver Function Test
|
$145.50 |
$145.50 |
$145.50 |
$115.44
|
|
Liver/spleen imag static only
|
$255.50 |
$255.50 |
$255.50 |
$1,123.50
|
|
Liver/spleen imag w/vasclr flow
|
$358.75 |
$358.75 |
$358.75 |
$1,067.48
|
|
Lorazepam 2 mg/ml injection (wrapper)
|
$37.66 |
$37.66 |
$37.66 |
$37.20
|
|
Low cost skin substitute app
|
$370.50 |
$370.50 |
$370.50 |
$909.35
|
|
Low cost skin substitute app
|
$444.50 |
$444.50 |
$444.50 |
$2,164.64
|
|
Low cost skin substitute app
|
$321.25 |
$321.25 |
$321.25 |
$933.60
|
|
Low cost skin substitute app
|
$444.50 |
$444.50 |
$444.50 |
$1,016.16
|
|
Low cost skin substitute app
|
$246.50 |
$246.50 |
$246.50 |
$429.50
|
|
Low cost skin substitute app
|
$444.50 |
$444.50 |
$444.50 |
$659.75
|
|
Low cost skin substitute app
|
$107.75 |
$107.75 |
$107.75 |
$349.44
|
|
Low cost skin substitute app
|
$292.50 |
$292.50 |
$292.50 |
$515.00
|
|
Lower Back (Lumbar Spine) CT scan (with and without contrast)
|
$891.00 |
$891.00 |
$891.00 |
$1,958.19
|
|
Lower Back (Lumbar Spine) CT scan (with contrast)
|
$928.25 |
$928.25 |
$928.25 |
$1,829.25
|
|
Lower Back (Lumbar Spine) CT scan (without contrast)
|
$840.75 |
$840.75 |
$840.75 |
$1,504.05
|
|
Lower Back (Lumbar Spine) MRI (with and without contrast)
|
$1,701.50 |
$1,701.50 |
$1,701.50 |
$3,111.17
|
|
Lower Back (Lumbar Spine) MRI (with contrast)
|
$1,191.25 |
$1,191.25 |
$1,191.25 |
$2,445.30
|
|
Lower Back (Lumbar Spine) MRI (without contrast)
|
$1,132.00 |
$1,132.00 |
$1,132.00 |
$2,096.84
|
|
Lower Back (Lumbar Spine) X-ray
|
$70.75 |
$70.75 |
$70.75 |
$352.32
|
|
L/s ratio fetal lung
|
$136.50 |
$136.50 |
$136.50 |
$176.15
|
|
Lumbar diskogram s&i
|
$1,042.50 |
$1,042.50 |
$1,042.50 |
$2,358.23
|
|
Lung Function Test (Spirometry)
|
$174.50 |
$174.50 |
$174.50 |
$295.35
|
|
Lung perfusion imaging
|
$243.50 |
$243.50 |
$243.50 |
$1,075.25
|
|
Lymphatics/lymph node imaging
|
$313.00 |
$313.00 |
$313.00 |
$1,448.00
|
|
Macroscopic exam parasite
|
$14.00 |
$14.00 |
$14.00 |
$36.40
|
|
Magnesium
|
$196.25 |
$196.25 |
$196.25 |
$73.00
|
|
Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback
|
$61.22 |
$61.22 |
$61.22 |
$58.70
|
|
Manipulation chest wall demonstration/evaluation subsequent
|
$48.25 |
$48.25 |
$48.25 |
$128.40
|
|
Manipulation chest wall initial demonstration/evaluation
|
$48.25 |
$48.25 |
$48.25 |
$152.54
|
|
Mannitol 12.5 gm/50 ml inj
|
$10.50 |
$10.50 |
$10.50 |
$27.81
|
|
Marker biop eviva buckle ss
|
$423.25 |
$423.25 |
$423.25 |
$1,152.48
|
|
Mastoids complete
|
$128.50 |
$128.50 |
$128.50 |
$299.50
|
|
M.avium-intra dna amp prob
|
$31.50 |
$31.50 |
$31.50 |
$132.00
|
|
Mayo a1app alpha 1 antitrypsin phenotype
|
$133.50 |
$133.50 |
$133.50 |
$66.36
|
|
Mayo aathr protein s free
|
$133.50 |
$133.50 |
$133.50 |
$130.08
|
|
Mayo activated protein c resistance assay
|
$66.25 |
$66.25 |
$66.25 |
$97.50
|
|
Mayo adalimumab (humira) therapeutic drug level
|
$30.25 |
$30.25 |
$30.25 |
$172.90
|
|
Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation
|
$54.50 |
$54.50 |
$54.50 |
$102.96
|
|
Mayo alcohol definitive assay volatile screen
|
$97.75 |
$97.75 |
$97.75 |
$112.85
|
|
Mayo alkaline phosphatase isoenzyme
|
$26.50 |
$26.50 |
$26.50 |
$66.30
|
|
Mayo alkaloids definitive assay nicotine/cotinine
|
$124.75 |
$124.75 |
$124.75 |
$105.11
|
|
Mayo alpha 1 antitrypsin
|
$198.00 |
$198.00 |
$198.00 |
$89.05
|
|
Mayo amikacin trough therapeutic drug level
|
$132.75 |
$132.75 |
$132.75 |
$82.80
|
|
Mayo amphu amphetamines definitive assay 3 or 4 urine
|
$80.25 |
$80.25 |
$80.25 |
$82.50
|
|
Mayo amphu methylenedioxyamphetamines definitive assay urine
|
$80.25 |
$80.25 |
$80.25 |
$80.08
|
|
Mayo analysis gene calr common variants exon 9
|
$261.50 |
$261.50 |
$261.50 |
$467.61
|
|
Mayo analysis gene jak2 p.val617phe variant
|
$349.00 |
$349.00 |
$349.00 |
$359.00
|
|
Mayo analysis gene smn1 dosage/deletion
|
$124.75 |
$124.75 |
$124.75 |
$361.50
|
|
Mayo analysis microarray cytogenomic copy number/snp variants
|
$657.50 |
$657.50 |
$657.50 |
$1,860.00
|
|
Mayo androstenedione
|
$277.25 |
$277.25 |
$277.25 |
$110.00
|
